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PERIODONTAL MAINTENANCE

Periodontal disease is a chronic disease, very similar to coronary artery disease. Chronic diseases have a likelihood of recurrence. Patients with chronic diseases must take certain measures to reduce the incidence of disease recurrence. For example, it is well known that patients who have been treated for coronary artery disease are advised to see their physician on a regular basis, to consume a low-fat diet, to follow an exercise program, to take any prescribed medications in a compliant manner and to refrain from tobacco use.

Patients with a history of periodontal disease are encouraged to get their teeth professionally cleaned every three months, whereas the standard care in the absence of disease is every six months. This is largely due to the microbiological shift that occurs in dental plaque as it ages. New plaque contains predominately aerobic gram positive bacteria which are relatively harmless regarding the periodontium. Plaque that is 90 days old or more has shifted to predominately anaerobic, gram negative bacteria which are responsible for the initiation of the inflammatory process. A very thorough prophylaxis performed every three months that removes dental plaque before it becomes harmful is the best weapon against the recurrence of periodontitis. Typically, the areas with the most significant bone loss and pockets prior to treatment are the areas where the disease is likely to recur first. These “at risk” areas will be checked very closely during maintenance visits.

Patients who have been treated for periodontal disease are placed on an alternating program for maintenance procedures between Dr. Turunen’s office and that of their general dentist. Most often this recall period is every three months, but there can be exceptions depending on circumstances.

In addition to timely professional recall visits, the recurrence of periodontal disease can be greatly reduced by following meticulous daily plaque control measures, refraining from using tobacco products, eating a balanced diet, getting adequate sleep and keeping stress levels to a minimum.

For more information on any of the above procedures please click below:

American Academy of Periodontology

 

American Dental Association

 

PERIODONTAL MAINTENANCE

Periodontal disease is a chronic disease, very similar to coronary artery disease. Chronic diseases have a likelihood of recurrence. Patients with chronic diseases must take certain measures to reduce the incidence of disease recurrence. For example, it is well known that patients who have been treated for coronary artery disease are advised to see their physician on a regular basis, to consume a low-fat diet, to follow an exercise program, to take any prescribed medications in a compliant manner and to refrain from tobacco use.

Patients with a history of periodontal disease are encouraged to get their teeth professionally cleaned every three months, whereas the standard care in the absence of disease is every six months. This is largely due to the microbiological shift that occurs in dental plaque as it ages. New plaque contains predominately aerobic gram positive bacteria which are relatively harmless regarding the periodontium. Plaque that is 90 days old or more has shifted to predominately anaerobic, gram negative bacteria which are responsible for the initiation of the inflammatory process. A very thorough prophylaxis performed every three months that removes dental plaque before it becomes harmful is the best weapon against the recurrence of periodontitis. Typically, the areas with the most significant bone loss and pockets prior to treatment are the areas where the disease is likely to recur first. These “at risk” areas will be checked very closely during maintenance visits.

Patients who have been treated for periodontal disease are placed on an alternating program for maintenance procedures between Dr. Turunen’s office and that of their general dentist. Most often this recall period is every three months, but there can be exceptions depending on circumstances.

In addition to timely professional recall visits, the recurrence of periodontal disease can be greatly reduced by following meticulous daily plaque control measures, refraining from using tobacco products, eating a balanced diet, getting adequate sleep and keeping stress levels to a minimum.

For more information on any of the above procedures please click below:

American Academy of Periodontology

 

American Dental Association